The fifth edition of Bojar's Manual of Perioperative Care in Adult Cardiac Surgery remains the gold standard for management of adult patients undergoing cardiac surgery.
The easily referenced outline format allows health practitioners of all levels to understand and apply basic concepts to patient care--perfect for cardiothoracic and general surgery residents, physician assistants, nurse practitioners, cardiologists, medical students, and critical care nurses involved in the care of both routine and complex cardiac surgery patients.
This comprehensive guide features:
Detailed presentation addressing all aspects of perioperative care for adult cardiac surgery patients
Outline format allowing quick access to information
Chronological approach to patient care starting with diagnostic tests then covering preoperative, intraoperative, and postoperative care issues
Additional chapters discuss bleeding, the respiratory, cardiac, and renal subsystems as well as aspects of care specific to recovery on the postoperative floor
Updated references, information on new drug indications and new evidence to support various treatment/management options.
Practical and accessible, this new edition of Manual of Perioperative Care in Adult Cardiac Surgery is the essential reference guide to cardiac surgical patient care.
Preface ix
Acknowledgments xi
1. Synopsis of Adult Cardiac Surgical Disease 1
2. Diagnostic Techniques in Cardiac Surgery 85
3. General Preoperative Considerations and Preparation of the Patient for Surgery 129
4. Cardiac Anesthesia 173
5. Cardiopulmonary Bypass 227
6. Myocardial Protection 263
7. Admission to the ICU and Monitoring Techniques 279
8. Early Postoperative Care 301
9. Mediastinal Bleeding 345
10. Respiratory Management 383
11. Cardiovascular Management 437
12. Fluid Management, Renal, Metabolic, and Endocrine Problems 581
13. Post-ICU Care and Other Complications 641
Appendices 727
Appendix 1A American College of Cardiology Classes of Recommendation and Levels of Evidence 729
Appendix 1B New York Heart Association Functional Classification 729
Appendix 2 Typical Preoperative Order Sheet 730
Appendix 3 Typical Orders for Admission to the ICU 731
Appendix 4 Typical Transfer Orders from the ICU 734
Appendix 5 Typical ICU Flowsheet 737
Appendix 6 Hyperglycemia Protocol for Cardiac Surgery Patients 738
Appendix 7 Heparinization Protocol for Cardiac Surgery Patients 739
Appendix 8 Protocol for Initiating Warfarin 740
Appendix 9 INR Reversal Protocol 741
Appendix 10 Drug, Food, and Dietary Supplement Interactions with Warfarin 742
Appendix 11 Doses of Parenteral Medications Commonly Used in the ICU and Their Modification in Renal Failure 743
Appendix 12 Doses of Nonparenteral Drugs Commonly Used
After Heart Surgery and Their Modifications in Renal Failure 747
Appendix 13 Definitions from the STS Data Specifications (Version 2.7 2011) 753
Appendix 14 Body Surface Area Nomogram 756
Appendix 15 Body Mass Index Chart 757
Appendix 16 Technique of Thoracentesis 758
Appendix 17 Technique for Tube Thoracostomy 759
Appendix 18 Technique of Insertion of Percutaneous Tracheostomy Tube 761
Index 765
Height:216
Width:140
Spine:36
Weight:1021.00